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In general, children with mild diarrhea who are not dehydrated should continue to eat
normally but should receive more fluids. (Fruit juices and soft drinks can make diarrhea
worse and should be avoided.) Children who have mild to moderate dehydration should
be given an oral rehydration solution in small, frequent amounts for several hours to
correct the dehydration and then should go back to eating normally. Children who are
breastfed should be breastfed throughout. A child who is vomiting will need to eat
smaller amounts more frequently. Follow your doctor's guidance and avoid giving your
child store-bought medicines for vomiting or diarrhea unless your doctor recommends
them. “

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4.2.3 Rule 3: Continue to feed the child, to prevent malnutrition

The infant usual diet should be continued during diarrhoea and increased afterwards. Food should never be
withheld and the child's usual foods should not be diluted. Breastfeeding should always be continued. The
aim is to give as much nutrient rich food as the child will accept. Most children with watery diarrhoea
regain their appetite after dehydration is corrected, whereas those with bloody diarrhoea often eat poorly
until the illness resolves. These children should be encouraged to resume normal feeding as soon as
possible.
When food is given, sufficient nutrients are usually absorbed to support continued growth and weight gain.
Continued feeding also speeds the recovery of normal intestinal function, including the ability to digest and
absorb various nutrients. In contrast, children whose food is restricted or diluted lose weight, have
diarrhoea of longer duration, and recover intestinal function more slowly.
What foods to give
This depends on the child's age, food preferences and pre-illness feeding pattern; cultural practices are also
important. In general, foods suitable for a child with diarrhoea are the same as those required by healthy
children.
Specific recommendations are given below.
Milk
Infants of any age who are breastfed should be allowed to breastfeed as often and as long as they want.
Infants will often breastfeed more than usual; this should be encouraged.
Infants who are not breastfed should be given their usual milk feed (or formula) at least every three
hours, if possible by cup. Special commercial formulas advertised for use in diarrhoea are expensive and
unnecessary; they should not be given routinely. Clinically significant milk intolerance is rarely a problem.
Infants below 6 months of age who take breastmilk and other foods should receive increased
breastfeeding. As the child recovers and the supply of breastmilk increases, other foods should be
decreased. (If fluids other than breastmilk are given, use a cup, not a bottle.) This usually takes about one
week. If possible, the infant should become exclusively breastfed (see Annex 6).
There is no value in routinely testing the stools of infants for pH or reducing substances. Such tests are
oversensitive, often indicating impaired absorption of lactose when it is not clinically important. It is more
important to monitor the child's clinical response (e.g. weight gain, general improvement). Milk intolerance
is only clinically important when milk feeding causes a prompt increase in stool volume and a return or
worsening of the signs of dehydration, often with loss of weight.

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Bebé: Mario 6 meses y 20 días

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